基于家庭的护理结果:护理提供者是否重要?
Norma B Coe1,2,3, Chuxuan Sun1, Courtney H Van Houtven4,5
1Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Health economics
|April 29, 2025
概括
结合正式和家庭护理来提供长期服务,可以改善健康和流动性,减少抑郁症. 仅仅是正式护理对接受者而言,与仅仅是家庭护理相比,没有显著的好处.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健服务研究 医疗服务研究
- 卫生社会学 卫生社会学
背景情况:
- 长期家庭护理主要依赖于无偿的家庭/朋友护理人员,越来越多地使用正式的 (有偿) 护理.
- 不同的护理提供者组合 (仅家庭,仅正式,两者) 对接受者结果的比较好处尚未得到充分理解.
- 影响护理选择的因素也可能影响健康结果,在因果分析中产生内源性问题.
研究的目的:
- 估计不同家庭护理组合对心理和身体健康结果的因果关系.
- 为了比较仅接受家庭照顾,仅接受正式照顾和两者的组合的接受者的结果.
- 通过工具变量策略来解决护理提供者选择中的内源性问题.
主要方法:
- 利用了2002-2018年健康和退休研究 (HRS) 的数据.
- 采用工具变量策略,使用家庭结构作为正式和联合照顾的工具.
- 分析了三个护理组合:仅家庭,仅正式,以及正式和家庭护理.
主要成果:
- 与单独的家庭护理相比,接受正式和家庭护理显著改善了自我评估的健康,流动性,并减少了抑郁症.
- 与仅接受家庭护理相比,仅接受正式护理的结果没有显著差异.
- 在各种敏感性分析和子样本中,调查结果仍然稳健.
结论:
- 在改善老年人的健康和福祉方面,正式和家庭护理的结合优于仅家庭护理.
- 在研究的结果中,单单是正式护理似乎并没有比非正式护理提供额外的好处.
- 这些发现为提供以人为中心,高质量的长期护理提供策略提供了信息.
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